Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.10 / $5,649.00 / $15,341.00	Facility		$529.10	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.77 / $547.87 / $616.85	Professional		$385.77	$547.87	$616.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.30 / $492.52 / $675.75	Facility		$314.30	$492.52	$675.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.06 / $464.31 / $481.06	Facility		$342.06	$464.31	$481.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.30 / $586.80 / $3,274.00	Facility		$314.30	$586.80	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00